Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2024; 16(7): 1956-1959
Published online Jul 27, 2024. doi: 10.4240/wjgs.v16.i7.1956
Unveiling the potential of electrocautery-enhanced lumen-apposing metal stents in endoscopic ultrasound-guided biliary drainage
Meer M Chisthi
Meer M Chisthi, Department of General Surgery, Government Medical College Pathanamthitta, Konni 689691, Kerala, India
Author contributions: Chisthi MM was responsible for all work on the manuscript.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Meer M Chisthi, MBBS, MS, Professor, Surgeon, Department of General Surgery, Government Medical College Pathanamthitta, Aanakuthi, Konni 689691, Kerala, India. meerchisthi@gmail.com
Received: February 26, 2024
Revised: April 25, 2024
Accepted: May 13, 2024
Published online: July 27, 2024
Processing time: 146 Days and 22.8 Hours
Core Tip

Core Tip: This meta-analysis highlights the effectiveness of electrocautery-enhanced lumen-apposing metal stents (ECE-LAMS) in ultrasound-guided biliary drainage for malignant obstruction. Based on diverse studies, it demonstrates a strong technical success rate of 96.7%, showcasing ECE-LAMS' efficacy in challenging cases post-failed endoscopic retrograde cholangio pancreatography. The notably high clinical success rate underscores its impact on symptom relief, and the safety profile is deemed acceptable. However, the observed adverse events and re-intervention rate emphasize the importance of vigilant post-procedural monitoring. Consistent outcomes across subgroups enhance the applicability of ECE-LAMS, positioning it as a versatile tool for palliation in cases of malignant biliary obstruction.